Discharge Survey for Cavalier Healthcare of England

Rate Your Experience

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Overall satisfaction with this experience	Strongly DisagreeOverall satisfaction with this experience Strongly Disagree	DisagreeOverall satisfaction with this experience Disagree	NeutralOverall satisfaction with this experience Neutral	AgreeOverall satisfaction with this experience Agree	Strongly AgreeOverall satisfaction with this experience Strongly Agree
Received a warm and sincere greeting upon arrival	Strongly DisagreeReceived a warm and sincere greeting upon arrival Strongly Disagree	DisagreeReceived a warm and sincere greeting upon arrival Disagree	NeutralReceived a warm and sincere greeting upon arrival Neutral	AgreeReceived a warm and sincere greeting upon arrival Agree	Strongly AgreeReceived a warm and sincere greeting upon arrival Strongly Agree
Staff greeting you by name	Strongly DisagreeStaff greeting you by name Strongly Disagree	DisagreeStaff greeting you by name Disagree	NeutralStaff greeting you by name Neutral	AgreeStaff greeting you by name Agree	Strongly AgreeStaff greeting you by name Strongly Agree
Ability of the staff to anticipate your needs	Strongly DisagreeAbility of the staff to anticipate your needs Strongly Disagree	DisagreeAbility of the staff to anticipate your needs Disagree	NeutralAbility of the staff to anticipate your needs Neutral	AgreeAbility of the staff to anticipate your needs Agree	Strongly AgreeAbility of the staff to anticipate your needs Strongly Agree
Cleanliness of your room and furnishings	Strongly DisagreeCleanliness of your room and furnishings Strongly Disagree	DisagreeCleanliness of your room and furnishings Disagree	NeutralCleanliness of your room and furnishings Neutral	AgreeCleanliness of your room and furnishings Agree	Strongly AgreeCleanliness of your room and furnishings Strongly Agree
Taste, quality and temperature of your food	Strongly DisagreeTaste, quality and temperature of your food Strongly Disagree	DisagreeTaste, quality and temperature of your food Disagree	NeutralTaste, quality and temperature of your food Neutral	AgreeTaste, quality and temperature of your food Agree	Strongly AgreeTaste, quality and temperature of your food Strongly Agree
How would you rate your dining experience?	Strongly DisagreeHow would you rate your dining experience? Strongly Disagree	DisagreeHow would you rate your dining experience? Disagree	NeutralHow would you rate your dining experience? Neutral	AgreeHow would you rate your dining experience? Agree	Strongly AgreeHow would you rate your dining experience? Strongly Agree

How would you rate the professionalism and courtesy of:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Nurses	Strongly DisagreeNurses Strongly Disagree	DisagreeNurses Disagree	NeutralNurses Neutral	AgreeNurses Agree	Strongly AgreeNurses Strongly Agree
Rehab Staff	Strongly DisagreeRehab Staff Strongly Disagree	DisagreeRehab Staff Disagree	NeutralRehab Staff Neutral	AgreeRehab Staff Agree	Strongly AgreeRehab Staff Strongly Agree
Nursing Assistant	Strongly DisagreeNursing Assistant Strongly Disagree	DisagreeNursing Assistant Disagree	NeutralNursing Assistant Neutral	AgreeNursing Assistant Agree	Strongly AgreeNursing Assistant Strongly Agree
Housekeeping Staff	Strongly DisagreeHousekeeping Staff Strongly Disagree	DisagreeHousekeeping Staff Disagree	NeutralHousekeeping Staff Neutral	AgreeHousekeeping Staff Agree	Strongly AgreeHousekeeping Staff Strongly Agree
Culinary Staff	Strongly DisagreeCulinary Staff Strongly Disagree	DisagreeCulinary Staff Disagree	NeutralCulinary Staff Neutral	AgreeCulinary Staff Agree	Strongly AgreeCulinary Staff Strongly Agree

Other Questions

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Were you satisfied with the end result of your rehab?	Strongly DisagreeWere you satisfied with the end result of your rehab? Strongly Disagree	DisagreeWere you satisfied with the end result of your rehab? Disagree	NeutralWere you satisfied with the end result of your rehab? Neutral	AgreeWere you satisfied with the end result of your rehab? Agree	Strongly AgreeWere you satisfied with the end result of your rehab? Strongly Agree
Rehab staff was knowledgeable and helpful with my specific rehab needs	Strongly DisagreeRehab staff was knowledgeable and helpful with my specific rehab needs Strongly Disagree	DisagreeRehab staff was knowledgeable and helpful with my specific rehab needs Disagree	NeutralRehab staff was knowledgeable and helpful with my specific rehab needs Neutral	AgreeRehab staff was knowledgeable and helpful with my specific rehab needs Agree	Strongly AgreeRehab staff was knowledgeable and helpful with my specific rehab needs Strongly Agree
Nursing staff was knowledgeable and helpful with my specific healthcare needs	Strongly DisagreeNursing staff was knowledgeable and helpful with my specific healthcare needs Strongly Disagree	DisagreeNursing staff was knowledgeable and helpful with my specific healthcare needs Disagree	NeutralNursing staff was knowledgeable and helpful with my specific healthcare needs Neutral	AgreeNursing staff was knowledgeable and helpful with my specific healthcare needs Agree	Strongly AgreeNursing staff was knowledgeable and helpful with my specific healthcare needs Strongly Agree
Did the staff thoroughly explain your discharge instructions?	Strongly DisagreeDid the staff thoroughly explain your discharge instructions? Strongly Disagree	DisagreeDid the staff thoroughly explain your discharge instructions? Disagree	NeutralDid the staff thoroughly explain your discharge instructions? Neutral	AgreeDid the staff thoroughly explain your discharge instructions? Agree	Strongly AgreeDid the staff thoroughly explain your discharge instructions? Strongly Agree
Administration promptly resolved any concerns during my stay	Strongly DisagreeAdministration promptly resolved any concerns during my stay Strongly Disagree	DisagreeAdministration promptly resolved any concerns during my stay Disagree	NeutralAdministration promptly resolved any concerns during my stay Neutral	AgreeAdministration promptly resolved any concerns during my stay Agree	Strongly AgreeAdministration promptly resolved any concerns during my stay Strongly Agree
If you experienced any concerns, were you satisfied with the end result?	Strongly DisagreeIf you experienced any concerns, were you satisfied with the end result? Strongly Disagree	DisagreeIf you experienced any concerns, were you satisfied with the end result? Disagree	NeutralIf you experienced any concerns, were you satisfied with the end result? Neutral	AgreeIf you experienced any concerns, were you satisfied with the end result? Agree	Strongly AgreeIf you experienced any concerns, were you satisfied with the end result? Strongly Agree
Were you satisfied with your transition to home?	Strongly DisagreeWere you satisfied with your transition to home? Strongly Disagree	DisagreeWere you satisfied with your transition to home? Disagree	NeutralWere you satisfied with your transition to home? Neutral	AgreeWere you satisfied with your transition to home? Agree	Strongly AgreeWere you satisfied with your transition to home? Strongly Agree